Is a Zero Cost Sharing Eligible for HSA?

When it comes to Health Savings Accounts (HSAs), understanding what expenses are eligible for HSA funds is crucial. One common question that arises is whether zero cost-sharing expenses are eligible for HSA contributions.

Zero cost-sharing expenses refer to medical services or items that are fully covered by insurance without any out-of-pocket costs for the individual. While HSA funds are typically used to pay for qualified medical expenses, including deductibles, copayments, and coinsurance, zero cost-sharing expenses may have different considerations:

  • Zero cost-sharing expenses that are also considered qualified medical expenses can be paid for using HSA funds.
  • Examples of zero cost-sharing services that are eligible for HSA include certain preventive care services and screenings specified by the IRS.
  • However, non-preventive services that are fully covered by insurance, such as some wellness services or routine check-ups, may not be eligible for HSA contributions.
  • It is important to review the IRS guidelines and your insurance plan to determine if a zero cost-sharing expense qualifies for HSA contributions.

Overall, while zero cost-sharing expenses can be eligible for HSA funds in certain situations, it is essential to ensure that they meet the criteria set forth by the IRS to avoid any penalties.


When navigating the world of Health Savings Accounts (HSAs), it’s essential to clarify the intricacies surrounding zero cost-sharing expenses and their eligibility for HSA funds. Zero cost-sharing expenses are those medical services that require no out-of-pocket expenses due to full insurance coverage.

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